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PA-11.1 Data Details

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PA-11.1 Increase the proportion of office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to exercise

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Ambulatory Medical Care Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
7.7 (2012)
Target: 
8.5
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of visits by ambulatory patients aged 20 years and over to non-Federal physicians in office-based practice with diagnosis of cardiovascular disease (ICD-9-CM codes 391-392.0, 393-398, 401, 402, 404, 410-416, 420-429), diabetes mellitus (ICD-9-CM code 250), or hyperlipidemia (ICD-9-CM codes 272.0-272.4) OR whose physician reports that the patient currently has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease in which exercise education was ordered or provided

Denominator: 

Number of visits by ambulatory patients aged 20 years and over to non-Federal physicians in office-based practice with diagnosis of cardiovascular disease, diabetes mellitus, or hyperlipidemia (as defined in the Numerator statement) OR whose physician reports that the patient currently has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease

Comparable Healthy People 2010 Objective: 
Not applicable
Questions Used to Obtain the National Baseline Data: 

    From the 2007 National Ambulatory Medical Care Survey:

    [NUMERATOR:]

    Physician's diagnoses for this visit -- as specifically as possible, list diagnose related to this visit including chronic conditions (e.g., depression, obesity, asthma, etc.) [Up to three diagnoses may be reported.]

    1. _________________
    2. _________________
    3. _________________

    Regardless of the diagnosis written in 5a, does the patient now have - Mark (X) all that apply. [List of 15 conditions includes: congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease.]

    Health education: Mark (X) all ordered or provided at this visit.

    1. None
    2. Asthma education
    3. Diet/Nutrition
    4. Exercise
    5. Growth/Development
    6. Injury prevention
    7. Stress management
    8. Tobacco use/exposure
    9. Weight reduction
    10. Other
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Because certain questions in the NAMCS are rotated, updated estimates may be available on a periodic rather than an annual basis.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 20-44, 45-64, 65+
    • Sex: 20-44, 45-64, 65+
    • Race/Ethnicity: 20-44, 45-64, 65+
    • Geographic Location: 20-44, 45-64, 65+
    • Health Insurance Status: 20-44, 45-64
Trend Issues: 
Due to the change from the International Classification of Disease (ICD)-9-CM to ICD-10-CM this objective has a final tracking data year of 2015.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2019, the baseline year was reset from 2007 to 2012 due to a methodological change in the data source. The baseline value was revised from 13.0 to 7.7. The target was revised from 14.3 to 8.5 using the original target-setting method.